Contract Review Process
Jun 23, 2021
submission
#912
Enter Basic Contract Information
Administrative Information
Contract Manager Name (City Staff) | Jonathan Holub |
Contract Manager Email ([email protected]) | [email protected] |
Department | 02 - ASD |
Division | 21 - Legal Services |
Basic Contract Details
Vendor Name | Alan Seltzer dba The Law Office of Alan Seltzer |
Vendor Number (3____ for AP and 00___ for AR) | 329149 |
Vendor Contact Name | Alan Seltzer |
Vendor Contact Email | [email protected] |
Contract / Amendment Title | Agreement for Hearing Officer Services |
Contract / Amendment Amount | $25,000.00 |
Is this a new agreement or an amendment to an existing agreement? | Amendment |
If this is if a Contract Amendment, what is the Contract Number? | 10020 |
Supplemental Insurance (for Risk team only) | --- |
Upload Contract Documents
Upload Documents
Upload Contract or Amendment Authorization Form | Please_DocuSign_Seltzer_Amend_Auth_FY22(1).p.pdf |
Upload Agreement or Amendment | Please_DocuSign_Amendment_Basic1-v2_Seltzer_.pdf |
Upload Insurance Documents (COI, Endorsements, WOS, etc.) | Seltzer_PL_Ins.pdf, Cert. of Bus. Owner's Ins.pdf |
Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") | --- |
Describe changes to Contract Template, if any (If none, type "None required") | --- |